SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

Further stakeholder engagement is needed to ensure that clinicians from existing
EDs are involved fully in the development of the proposals
More detailed work on service specification is required to ensure:
o The likely case-mix of UCCs and EDs is well understood;
o A consistent approach to governance across UCCs and EDs is developed.
Better modelling is required in order to:
o Understand the scale of higher dependency (ambulance borne) patients that
will be redistributed around NWL after reconfiguration and ways in which „exit
block‟ from the ED into the hospital bed base can be minimised;
o Build a better understanding of likely admission rates and length of stay at
each of the proposed EDs.
A workforce strategy is required to:
o Develop a staffing model for UCCs and EDs (we used the LHP requirements)
o Ensure capacity and capability exists to operate UCCs 24/7
o Ensure senior decision-makers are available during peak periods
o Build a sustainable, multi-disciplinary workforce
o
o
Develop an integrated approach to training for all UCC and ED clinical staff
Understand the cost implications of expanding the ED senior workforce to
provide the level of cover set out in the proposals
The feasibility and potential benefits of further integration with GP Out of Hours
services should be explored in more detail.
In July 2012, the Emergency and Urgent Care Clinical Implementation and planning Group
(E&UC CIG) was established in part to respond to NCAT feedback. The CIG was also
tasked to respond to feedback from the main consultation exercise, when this became
available in early November 2012.
Qualitative feedback
Figure 7.30 summarises the key qualitative themes that emerged during consultation. Please
consult ‟Shaping a healthier future‟ consultation for NHS North West London – Final Report
for a more detailed analysis of responses to consultation.
Figure 7.30 Qualitative themes that emerged during consultation
Theme Notes Source
Consistent UCC
service model
UCC clinical safety
It is important to develop a
definitive list of conditions that can
be treated by UCCs. The public
need to understand how and
where to access care.
Challenged the non co-located
model for UCCs.
Westminster City Council, Adult
Services and Health Policy and
Scrutiny Committee.
London Borough of Hounslow
Health and Adult Care Scrutiny
Panel.
Kensington and Chelsea LINk
NCAT
Onkar Sahota, London Assembly
Member for Ealing and Hillingdon
Eaing Hospital A&E team
Brent LINk
7b. Work of the Emergency and Urgent Care CIG 147